RecruitingNot ApplicableNCT04994873

Skills to Enhance Positivity in Suicidal Youth

Skills to Enhance Positivity in Adolescents at Risk for Suicide


Sponsor

Brown University

Enrollment

216 participants

Start Date

Oct 4, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Hybrid Type I Effectiveness-Implementation design. Specifically, this study proposes to test the effectiveness of STEP in reducing suicidal events and ideation in 216 adolescents, admitted to inpatient psychiatric care due to suicide risk. Participants will be randomized to either STEP or ETAU. STEP involves 4 in-person sessions (3 individual, 1 family) focused on psychoeducation regarding positive and negative affect, mindfulness meditation, gratitude, and savoring. Mood monitoring prompts and skill reminders will be sent daily for the first month post-discharge and three times a week for the following two months. The ETAU condition will receive reminders to log into a safety resource app, matched in frequency to the STEP group. Effectiveness aspects of the design include using clinical staff as interventionists and having very few exclusion criteria.


Eligibility

Min Age: 12 YearsMax Age: 60 Years

Inclusion Criteria8

  • Ages 12- 60 years
  • hospitalized on an inpatient psychiatric unit due to suicide risk
  • past month suicide attempts or suicidal ideation
  • proficient in English (parent either English or Spanish
  • access to a smart phone.
  • Ages 22 - 60 years
  • work with adolescents hospitalized on an inpatient psychiatric unit due to suicide risk
  • proficient in English or Spanish

Exclusion Criteria4

  • active psychotic disorder
  • significant cognitive impairment or deficits
  • ward of the State
  • discharge to residential facility.

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Interventions

BEHAVIORALSTEP

Behavioral intervention to increase positive affect

BEHAVIORALEnhanced TAU

Standard care plus a phone app with a personalized safety plan


Locations(3)

Children's Hospital

Boston, Massachusetts, United States

Butler Hospital

Providence, Rhode Island, United States

Bradley Hospital

Riverside, Rhode Island, United States

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NCT04994873


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